Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.51 / $6,546.00 / $17,538.00	Facility		$520.51	$6,546.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.18 / $475.58 / $2,316.35	Professional		$349.18	$475.58	$2,316.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.54 / $655.62 / $1,551.35	Professional		$407.54	$655.62	$1,551.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $388.09 / $554.41 / $1,177.03	Professional		$388.09	$554.41	$1,177.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,458.73 / $1,988.34	Facility		$705.31	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.78 / $606.30 / $1,252.51	Professional		$426.78	$606.30	$1,252.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $469.10 / $671.86 / $907.01	Professional		$469.10	$671.86	$907.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.97 / $604.66 / $1,119.00	Professional		$421.97	$604.66	$1,119.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,989.68 / $3,066.96 / $26,542.00	Facility		$2,989.68	$3,066.96	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,604.00 / $4,659.41 / $4,659.41	Professional		$3,604.00	$4,659.41	$4,659.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.66 / $691.40 / $1,038.50	Facility		$526.66	$691.40	$1,038.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $439.24 / $651.79 / $1,304.93	Professional		$439.24	$651.79	$1,304.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,437.26 / $1,437.26 / $1,800.31	Professional		$1,437.26	$1,437.26	$1,800.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $469.10 / $611.01 / $887.36	Professional		$469.10	$611.01	$887.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $14,743.00	Facility		$3,698.00	$7,106.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.15 / $540.04 / $1,204.14	Professional		$423.15	$540.04	$1,204.14